Individual provider Active NPI

Sanjeeva T Reddy, M.D.

  • Gastroenterology Physician
  • Marrero, LA
National Provider Identifier
1669474904
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20662 Issued in LA
Practice address
1111 Medical Center Blvd
Ste S450
Marrero, LA 70072-3151
Phone
(504) 349-6401
Fax
(504) 349-6444
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20662 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072-3151

Mailing address

1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072-3151
Phone (504) 349-6423

Other identifiers 1

IdentifierTypeStateIssuer
1900583MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000469 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 6608761648 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4224 Houma Blvd
Suite 400
Metairie, LA 70006-2937
Phone (504) 456-8020

764 N Acadia Rd
Suite a
Thibodaux, LA 70301-5009
Phone (985) 446-1958

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Upper gastrointestinal (GI) endoscopy for acid reflux51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20662LAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Apr 27, 2022 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 19, 2009 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Apr 27, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 14, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 14, 2019 Accepting new patients
Crescent City Physicians, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 19, 2009 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

1151 Barataria Blvd
Ste 4400
Marrero, LA 70072
Phone (504) 349-6401

1111 Medical Center Blvd
Ste S570
Marrero, LA 70072
Phone (504) 244-8900

1111 Medical Center Blvd
Ste 570
Marrero, LA 70072

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

2820 Napoleon Ave
Ste 700
New Orleans, LA 70115
Phone (504) 412-1310

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

2000 Canal St
Fl 5
New Orleans, LA 70112
Phone (504) 702-4333

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

2235 Poydras St
New Orleans, LA 70119
Phone (504) 524-7205

2025 Gravier St
New Orleans, LA 70112
Phone (504) 412-1580

120 Ochsner Blvd
Terrytown, LA 70056
Phone (504) 595-8020

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1669474904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S-450",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6423",
            "fax_number": "504-349-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "STE S450",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6401",
            "fax_number": "504-349-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SANJEEVA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "20662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900583",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.